Perham, Minnesota

Live-In Caregivers in Perham, MN

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Perham for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Live-In Caregivers in Perham, MN: the local picture

193
residents 85 or older (5.3% of all residents)
267
households headed by someone 65+ own their home (54%)
58%
of Perham homes have 3 or more bedrooms (66% in Otter Tail County)
$11.41
Minnesota minimum wage per hour

About 193 Perham residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 58% of homes in Perham have three or more bedrooms (66% in Otter Tail County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 5.1 rooms.

Of Perham households headed by someone 65 or older, 267 own their home and 227 rent; among householders 85 and older it is 46 owners and 53 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Perham compared with Otter Tail County and Minnesota

Census figurePerhamOtter Tail CountyMinnesota
Residents 85 or older5.3%3.2%2.1%
Residents 65+ in households who live alone32%26%30%
Residents 65+ with a disability47%28%28%
Residents 65+ below the poverty line (approx.)22%8.4%8.8%
Residents 65 or older24%25%17%
Residents 5+ who speak a language other than English at home14%4.6%12%
Median income, households headed by someone 65+$45,833$53,778—

Older residents in towns around Perham

TownDistanceResidents 65+Residents 85+
Detroit Lakes, MN19 mi2,539376
Wadena, MN24 mi803185
Pelican Rapids, MN24 mi444108
Fergus Falls, MN32 mi3,663884
Park Rapids, MN33 mi1,210287
Barnesville, MN40 mi35957

Emergency hospitals near Perham

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Perham HealthPerham, MN0.3 mi3 of 5(218) 347-4500
Astera HealthWadena, MN24 mi3 of 5(218) 631-7489
St Josephs Area Health ServicesPark Rapids, MN35 mi3 of 5(218) 732-3311

Straight-line miles from the center of Perham. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a live-in caregiver can help with

  • Help across the day: meals, housekeeping, personal care
  • Someone in the home overnight if help is needed
  • Medication reminders and appointment rides
  • Companionship and a steady routine
Cost

What live-in care costs in Perham

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.45 an hour (the Minnesota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,998 a month (105% of the $3,819 monthly median income of Perham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,432 a month (352% of the $3,819 monthly median income of Perham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Minnesota's minimum wage is $11.41 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Live-In Caregivers in Perham: common questions

Where is the nearest emergency hospital to Perham?

Perham Health in Perham, about 0.3 mi in a straight line from the center of Perham (Medicare hospital file). Its listed phone number is (218) 347-4500. In an emergency, call 911.

How much does live-in care cost in Perham?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.45 an hour (the Minnesota median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,998 a month (105% of the $3,819 monthly median income of Perham households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,432 a month (352% of the $3,819 monthly median income of Perham households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Minnesota's minimum wage is $11.41 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Perham?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Perham it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

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